Responsibilities

Own the overall operational process for the production and transmission of accurate, complete, and timely claims bordereaux for carrier partners.
Elevate claims data into a reliable, decision-driving asset for Finance, Actuarial, and leadership by improving data standards, completeness, and consistency.
Serve as the operational point of contact for carrier partner BDX inquiries—coordinating responses, root-cause analysis, corrections, and preventive process improvements.
Drive continuous improvement in data quality and reporting consistency that strengthens trust with carrier partners.
Oversee claims payment enablement, including invoice processing, reconciliations, and related controls to ensure accuracy, timeliness, and compliance with carrier and regulatory requirements.
Partner with technology teams to explore and implement Gen-AI and advanced analytics use cases that improve productivity, insight generation, and customer experience.
Build and maintain operational controls and monitoring to support internal claims audits, carrier partner reviews, and compliance assessments.
Maintain audit-ready processes, documentation, and evidence to support internal and external reviews.
Collaborate closely with Claims, Actuarial, Data, Product, and Engineering on strategic initiatives and operational roadmaps.

Skills and Qualifications

4+ years of experience in insurance claims operations, ideally within a high-growth, dynamic environment.
Excellent data analysis and systems savvy
Understanding of insurance concepts
Customer service, creative problem solving mindset
Salesforce experience a plus
Advanced Excel and data management skills, with experience handling large datasets
Experience as a heavy contributor or leader of a cross functional product/process
Superior written and verbal communication skills

US base salary ranges from $75,000/year to $100,000/year depending on geographic market, education, skills, job-related knowledge, qualifications, work experience, credentials, and/or geographic location.